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Cubic Millimeter High Resolution 3D Inner-Volume GRASE (IV-GRASE) CEST MRI Using T1-Integrated Variable Density CAIPI
Hahnsung Kim1,2, Suhyung Park3, Julius Juhyun Chung1
1Emory National Primate Research Center, Emory University, Atlanta, Georgia, USA.
Magnetic Resonance in Medicine
|May 8, 2026
Summary
This study introduces a novel hybrid T1-CEST MRI sequence for efficient, high-resolution imaging. The advanced technique enhances quantitative stability and reduces artifacts, improving diagnostic capabilities.
Area of Science:
- Magnetic Resonance Imaging (MRI)
- Biomedical Engineering
- Quantitative Imaging
Background:
- Chemical Exchange Saturation Transfer (CEST) MRI offers valuable insights into tissue physiology.
- Current CEST MRI techniques often face challenges with efficiency, resolution, and quantitative accuracy.
- Simultaneous acquisition of T1-weighted and CEST data is desirable for comprehensive tissue characterization.
Purpose of the Study:
- To develop a novel cubic-millimeter, high-resolution Chemical Exchange Saturation Transfer (CEST) Magnetic Resonance Imaging (MRI) sequence.
- To enhance the efficiency and quantitative stability of CEST MRI.
- To enable simultaneous T1-weighted and CEST imaging in a single acquisition.
Main Methods:
- Developed a hybrid sequence combining inversion-recovery T1 and multi-offset CEST modules using inner-volume GRASE (IV-GRASE) readout.
- Improved acquisition efficiency with variable-density random-walk sampling.
- Employed a self-calibrated joint reconstruction framework with sparsity and low-rank constraints.
Main Results:
- Achieved simultaneous T1 and CEST imaging with reduced artifacts and improved quantitative stability.
- Demonstrated accurate T1 and Z-spectral measurements in phantoms with co-registered datasets.
- Preliminary patient studies revealed distinct tissue heterogeneity and exchange-dependent relaxation contrast.
Conclusions:
- The proposed hybrid T1-CEST MRI sequence offers efficient, artifact-reduced, and quantitatively reliable high-resolution imaging.
- This advancement facilitates the feasibility of quantitative CEST analysis in clinical settings.
- The sequence enables comprehensive tissue characterization in a single MRI acquisition.

